Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Utah for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Utah only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Utah (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Nicholas Baker (NPI 1235535931)

Field	Value
Entity Type	Individual
Organization	Nicholas Baker
Address	2000 S 900 E
City	Salt Lake City
State	UT
ZIP	84105
Taxonomy	Physician Assistant
NPI Enumerated	November 7, 2014

Payer Source	Total Paid
Medicare	$19.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	100	$80	$7.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	130	$50	$6.5K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	30	$80	$1.9K
94762	The provider monitors the patient’s oxygen saturation overnight using a sensor on the ear or finger.	100	$20	$1.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	10	$120	$1.4K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	10	$60	$720

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Nicholas Baker — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,687	4,080	80	$80	$11.6K
99215	1,126	1,190	40	$110	$7.5K
99213	973	3,680	60	$50	$6.4K
99204	902	1,790	30	$100	$4.1K
99203	1,187	1,360	30	$70	$2.7K
94762	7	20	80	$20	$2K

Nearby Providers

Other providers in the same ZIP code as Nicholas Baker, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Psychiatric & Behavioral Solutions, L.L.C.	UT	Community/Behavioral Health Agency	$0	$1.9M
Jason Hansen	UT	Dermatology Physician	$506.8K	$0
Ihc Health Services, Inc	UT	Internal Medicine Physician	$0	$335.3K
Bernard Liang	UT	Internal Medicine Physician	$70.8K	$0
Pilar Dechet	UT	Orthopaedic Surgery Physician	$32.8K	$0
Kerry Sackman	UT	Nurse Practitioner	$5.5K	$0
Troy Demill	UT	Audiologist	$4.6K	$0

Nicholas Baker — Billing Profile & Reimbursement Data

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Nicholas Baker — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References